2026 NPPES data Internal Medicine Physician NPI 1891781951 MD
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Paul Malcharek, MD

Internal Medicine Physician in Maryville, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
10K
Medicare Part D claims · 600 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$710.49
40 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Paul Malcharek, MD reported a CMS MIPS final score of 94.6/100 — above the 83.1 national average — and filed 9,675 Medicare Part D claims in 2023.

94.6/100
MIPS score · +12 vs avg
10K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Paul Malcharek, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

Paul Malcharek, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Paul Malcharek, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/23/2005

NPI 1891781951

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

9,675 256% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

94.6/100 11.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Internal Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Internal Medicine Physician share within Illinois

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Illinois

Medicare quality performance — MIPS

Paul Malcharek, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 94.6/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Internal Medicine Physician) — 94.6/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Paul Malcharek, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2401 S CENTER ST, Maryville, IL, 62062, with a listed phone of (618) 344-3046. NPI 1891781951 was issued on 09/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Malcharek most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 9,675 prescription claims written by this provider, covering 600 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6/100 for the 2023 performance year (Quality 85.2), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2401 S CENTER ST
Maryville, IL 62062

Provider Details

NPI 1891781951
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 09/23/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Paul Malcharek, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Hshs Medical Group Inc
Maryville, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Paul Malcharek, MD. Source: openpaymentsdata.cms.gov.

Total received

$710

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to Paul Malcharek, MD. To verify Paul Malcharek, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Paul Malcharek, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 9,675 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

9,675
Total Claims
$1.1M
Total Drug Cost
600
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,743
Total Day Supply
623,201
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$849K
Generic Drug Cost
$198K
Opioid Claims
283 (2.9% rate)
Antibiotic Claims
237

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.22
Gender Split
48% female / 52% male
Age Distribution
<65: 49, 65-74: 259, 75-84: 208, 85+: 84

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Paul Malcharek, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
438
Levothyroxine Sodium
420
Amlodipine Besylate
397
Lisinopril
336
Hydrochlorothiazide
290
Omeprazole
277
Metoprolol Succinate
261
Metformin Hcl
226
Simvastatin
209
Allopurinol
194

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Paul Malcharek, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Paul Malcharek, MD's 9,675 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Malcharek.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Paul Malcharek, MD's specialty?
Paul Malcharek, MD specializes in Internal Medicine Physician and practices in Maryville, Illinois. Credentials: MD.
How much does Paul Malcharek, MD prescribe under Medicare Part D?
In 2023, Paul Malcharek, MD wrote 9,675 Medicare Part D claims totaling $1.1M in drug costs for 600 beneficiaries.
What is Paul Malcharek, MD's Medicare quality score?
Paul Malcharek, MD has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Malcharek, MD located?
Paul Malcharek, MD is located at 2401 S CENTER ST, Maryville, IL, 62062. Phone: (618) 344-3046.
What is Paul Malcharek, MD's NPI number?
Paul Malcharek, MD's National Provider Identifier (NPI) is 1891781951, issued on 09/23/2005.
Does Paul Malcharek, MD prescribe more brand-name or generic drugs?
Paul Malcharek, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $849K in brand drug costs.
Does Paul Malcharek, MD prescribe opioids?
Yes, Paul Malcharek, MD had 283 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Paul Malcharek, MD prescribe most often?
Based on 2023 Medicare Part D data, Paul Malcharek, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Malcharek, MD accept Medicare?
Paul Malcharek, MD appears in CMS Medicare data with 9,675 Part D claims and 600 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Malcharek, MD's credentials?
Paul Malcharek, MD's NPI is 1891781951 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology